Derek S Mongold in Antioch - Family Medicine
Derek S Mongold - NPI 1700099264
Derek S Mongold is a Family Medicine in Antioch, California. Derek S Mongold practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derek S Mongold is 1700099264. The last update date is 2021-12-15.
Derek S Mongold's current location address is 3400 Delta Fair Blvd, Antioch, California. You can contact this provider via phone number 9257776399. The mailing address for Derek S Mongold is 3400 Delta Fair Blvd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek S Mongold |
|---|---|
| Address | 3400 Delta Fair Blvd, Antioch, California |
| Phone Number | 9257776399 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700099264 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 3400 Delta Fair Blvd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945094004 |
| Phone Number | 9257776399 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A122589 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Derek S Mongold's 1700099264?
The Derek S Mongold's NPI (National Provider Identifier) Number is 1700099264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Derek S Mongold's facilities are situated?
The facilities of Derek S Mongold are physically located at the following address: 3400 Delta Fair Blvd, Antioch, CA, 945094004.
What is Derek S Mongold's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek S Mongold's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700099264 to Derek S Mongold?
The Centers for Medicare & Medicaid Services assigned the 1700099264 to Derek S Mongold on 2007-05-08.
When was the information related to Derek S Mongold most recently updated or refreshed?
The details pertaining to the Derek S Mongold, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-15.